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General NPI Number Information
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NPI Number | 1023167541
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Entity Type | Organization
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Legal Business Name | COUNTY OF KERN
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 1800 MOUNT VERNON AVE FL 1
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City | BAKERSFIELD
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State | CA
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Zip | 93306-3302
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Country | US
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Telephone | 661-321-3000
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Fax | 661-868-0597
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Provider Business Mailing Address
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Address Line | 1800 MOUNT VERNON AVE FL 3LEVEL1
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City | BAKERSFIELD
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State | CA
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Zip | 93306-3302
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Country | US
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Telephone | 661-868-0304
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Fax | 661-868-0597
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Authorized Official
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Title or Position | FISCAL SUPPORT SUPERVISOR
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Name | SHANNON A BAILEY
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Credential |
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Telephone | 661-868-0304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | CLE1134
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License Number State | CA
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